Etoposide, Methylprednisolone, High-dose Cytarabine and Oxaliplatin (ESHAOx) for Refractory or Relapsed Hodgkin's Lymphoma (HL)

Inclusion Criteria:

• Previously histologically confirmed Hodgkin's lymphoma
• Failure to achieve a complete remission with the initial induction chemotherapy, or recurrent disease
• Performance status (ECOG) ≤ 3
• Age ≤ 75 years old
• Number of prior chemotherapies: one or two regimens
• At least one or more uni-dimensionally measurable lesion(s) defined as; ≥ 2 cm by conventional CT or ≥ 1 cm by spiral CT or skin lesion (photographs should be taken) or measurable lesion by physical examination
• Adequate organ functions defined as; ANC > 1,500/ul, platelet > 75,000/ul, transaminases < 3 X upper normal values; bilirubin < 2 mg/dL
• Written informed consent approved by institutional review board or ethic committee

Exclusion Criteria:

• Previous high dose chemotherapy with autologous stem cell transplantation or allogeneic stem cell transplantation
• Previous chemotherapies with ESHAP regimen
• Any other malignancies within the past 5 years except skin basal cell carcinoma or carcinoma in situ of cervix
• Other serious illness or medical conditions
• Unstable cardiac disease despite treatment, myocardial infarction within 6 months prior to study entry
• History of significant neurologic or psychiatric disorders including dementia or seizures
• Active uncontrolled infection (viral, bacterial or fungal infection)
• Other serious medical illnesses
• Pregnancy or breast-feeding, women of childbearing potential not employing adequate contraception
• Previous history of drug allergy to one of the drugs in the study regimen